A Case of Antisynthetase Syndrome

항 Synthetase 증후군 1예

  • Kim, Min-Jeong (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Min Ah (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Eung-Gyu (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Chan-Hwan (Department of Pathology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Sang-Jin (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine)
  • 김민정 (인제대학교 의과대학 부산백병원 신경과) ;
  • 김민아 (인제대학교 의과대학 부산백병원 신경과) ;
  • 김응규 (인제대학교 의과대학 부산백병원 신경과) ;
  • 김찬환 (인제대학교 의과대학 부산백병원 병리과) ;
  • 김상진 (인제대학교 의과대학 부산백병원 신경과)
  • Published : 2006.12.30

Abstract

It has been reported that antisynthetase syndrome belongs to the idiopathic myositis group which includes pulmonary interstitial disease, arthritis, Raynaud's phenomenon, and mechanic's hand, associated with the anti-Jo1 antibody. A 60- year-old man presented with one month history of lower limbs weakness, rapidly progressive exertional dyspnea, and arthralgia. A markedly increased titers of anti-Jo1 antibodies were found. Chest CT showed idiopathic pulmonary fibrosis. Muscle biopsies were consistent with polymyositis. A high dose corticosteroids and cyclosporine were not effective. We report a case of antisynthetase syndrome, in which immunosuppressive agents could not rescue the deteriorating disease course.

Keywords